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EMS Systems

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provide the EMT student with an overview of the EMS System and its components and their relationships

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What are the essential items that citizens need to know about their EMS System?What care is available from EMS; what EMS is; cost of service; accessing services; first aid.
What are the essential items that citizens need to know about first aid?CPR; hemorrhage control; don’t move patient.
T/F: Prehospital care is an extension of hospital care.True.
T/F: Definitive patient care must be provided as soon as possible. This can be started, and to a great measure, completed in the field, in many medical patients.True.
Where must definitive hemorrhage control and blood replacement be provided?In the operating room.
When must a patient be rapidly transported to the hospital?When definitive emergency care cannot be provided in the field.
Who is responsible for developing patient-care protocols?The medical control physician.
Who may provide on-line medical control?The medical control physician or physician designee.
Who is ultimately responsible for run reviews and quality assurance in an ALS service?The medical control physician.
Every ambulance call consists of three main elements. What are they?Pre-incident planning, immediate field care, incident follow-up.
All EMS vehicles must come up to a specific standard. What is this standard known as?KKK Standards.
All ambulances should be equipped with certain equipment. What is this list known as?The American College of Surgeons Committee on Trauma Essential Equipment List.
What types of circumstances require ambulances to carry additional equipment?Environment, rescues, geography, special services.
What elements may influence the placement of ambulances?Associated services which may provide first response; the location of ambulances for primary response.
The National Standard Curriculum for EMT-Ambulance covers ten skills and knowledge areas. What are they?CPR; airway and ventilation; hemorrhage control; fracture stabilization; emergency childbirth; extrication; special rescue skills; diagnosis and management; PASG;communication.
The National Standard Curriculum for EMT-Intermediate covers seven skills and knowledge areas. What are they?All of EMT-B curriculum content; patient assessment and initial management; EOA; endotracheal intubation and defibrillation (optional); recognition and management of shock; ventilation management; intravenous fluid therapy.
The National Standard Curriculum for EMT-Paramedic covers five skills and knowledge areas. What are they?All of EMT-B and EMT-I curriculum content; advanced airway management; medical, including cardiac (AHA-ACLS) and other medical emergencies; advanced trauma management as identified by the American College of Surgeons and American Academy of Orthopedic Surgeons; optional skills and therapeutics.
What knowledge should the EMS dispatcher have?He should be knowledgeable of EMT-Intermediate skills and telephone first aid until help arrives.
What three elements go into the decision to dispatch a specific uniDistance, time, and appropriate level of care.
What ranges of frequencies are used for EMS dispatchUHF and VHF.
What types of radio systems are used for physician to EMT communication?Simplex, Duplex and Multiplex.
In addition to radio, what other devices can physicians and EMT use to communicate?Telemetry, telephone.
What committees and individuals serve to determine medical standards for EMS?EMS Committee, medical director, associate medical director.
What different types of patient care protocols are there?Patient management guidelines; standing orders; verbal orders; major incident protocols.
In what ways can the EMS system and hospital interface?Drug and supply exchange; housing for unit; emergency department observation; education.
What are the first three things the EMT must do on arrival at the scene?Scene assessment, patient evaluation, management of life threatening conditions.
What information must the EMT and physician exchange on initial contact?Description of situation; description of patient; description of care instituted; physician instruction for additional care.
After initial assessment and treatment, what are the next three steps the EMT must complete?Completion of physician instructions for patient care; preparation for transportation; transportation (trauma-as soon as possible, medical-usually after initial stabilization).
What four areas should the run critique coverAssessment, care, communication and documentation.
What three major areas should continuing education cover?Run critiques; review of original training; new information, including skills, procedures, devices and drugs.

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